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NSWhospital2019-04-04

Inquest into the death of Ahmed RIZK

49y · Male·Complications of metastatic gastric adenocarcinoma

Ahmed Rizk, a 49-year-old man in custody, died from complications of metastatic gastric adenocarcinoma. He presented with abdominal pain and constipation on 10 August 2017, was investigated at Glen Inness District Hospit…

gastroenterologyoncology
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surgery in …

oncologypsychiatrydiagnosticcommunicationdexamethasone
TAShospital2019-03-22

Coroner's Finding: Morris, Jason Simon

48y · Male·metastatic squamous cell carcinoma of the lung

Jason Simon Morris, a 48-year-old man with a history of heavy smoking and alcohol abuse, was diagnosed with stage four metastatic small cell lung cancer while imprisoned in June 2018. He declined chemotherapy due to feel…

oncologypalliative care
WAhospital2019-03-12

Inquest into the Death of Lorna May WOODS

39y · Female·pulmonary thromboembolism due to deep vein thrombosis and sepsis due to pyelonep…

Lorna May Woods, 39, died from pulmonary thromboembolism due to deep vein thrombosis and sepsis secondary to pyelonephritis on a background of metastatic ovarian cancer. She presented to Joondalup Health Campus with uros…

emergency medicinepsychiatryheparin
SAhospital2019-03-08

Coroner's Finding: PETERS Clinton Neal

40y · Male·metastatic malignant melanoma

A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…

oncologyemergency medicinediagnosticdelay
VIChospital2019-02-08

Finding into death of Phyllis Franke

74y · Female·complications of metastatic intra abdominal malignancy (unknown primary)

A 74-year-old woman in residential disability care presented with non-specific illness in late August 2017. Following GP consultation, she was admitted to Beechworth Health Service then transferred to Wangaratta Hospital…

general practiceoncologydiagnosticdelay
VIChome2019

Finding into death of Timothy Shane Norton

46y · Male·Complications of stage 4 colorectal cancer in a man with multiple medical comorb…

Timothy Norton, a 46-year-old man with severe intellectual disability, cerebral palsy, epilepsy and chronic constipation, died from complications of stage 4 colorectal cancer. Cancer was discovered on colonoscopy in June…

colorectal surgeryoncology
NSW2018-11-15

Inquest into the death of Kenneth Johnstone

79y · Male·Complications associated with metastatic colorectal carcinoma and diabetes melli…

Kenneth Johnstone, a 79-year-old prisoner with extensive comorbidities including metastatic colorectal cancer, diabetes, stage 4 chronic kidney disease, and osteomyelitis, died from cancer complications. He was appropria…

oncologypalliative caremorphine
TAShospital2018-10-19

Coroner's Finding: Dufty, David Richard

58y · Male·metastatic carcinoma of the pancreas

David Dufty, aged 58, died from metastatic pancreatic cancer while detained under a Mental Health Act treatment order in the ICU of Royal Hobart Hospital. He was admitted with psychosis in December 2016. On 5 January 201…

psychiatryanaesthesia
NSW2018-10-05

Inquest into the death of Carmelo Disano

71y · Male·metastatic caecal adenocarcinoma

Carmelo Disano, a 71-year-old man serving a prison sentence, died from metastatic caecal adenocarcinoma with liver and lung metastases at Long Bay Hospital in November 2015. He was diagnosed with stage IV cancer in Septe…

oncologypalliative carepalliative chemotherapy
TAShospital2018-09-21

Coroner's Finding: Patrick, Robert David

65y · Male·ruptured abdominal aortic aneurysm

A 65-year-old man with recently diagnosed small cell lung cancer presented to a rural hospital with acute back pain. He had a known abdominal aortic aneurysm (73mm) identified on staging scans. The attending nurse docume…

emergency medicinegeneral practicediagnosticcommunicationmorphine
VICaged care2018-08-21

Finding into death of Stephen Ross Wakefield

66y · Male·Complications of metastatic colorectal cancer (palliated)

Stephen Ross Wakefield, a 66-year-old man with Fragile X Syndrome and intellectual disability, died from complications of metastatic colorectal cancer receiving palliative care. He was diagnosed with bowel cancer in 2015…

palliative careoncology
NSWhospital2018-07-20

Inquest into the death of Jamie Walker

49y · Male·Metastatic cholangiocarcinoma

Jamie Walker, a 49-year-old man with pre-existing epilepsy, cirrhosis, and hepatitis C, died in custody from metastatic cholangiocarcinoma. He presented with abdominal pain and leg swelling; initial ED assessment on 19 O…

emergency medicinegastroenterologymethadone
SAhospital2018-06-01

Coroner's Finding: MCRAE Christopher, PINXTEREN Johanna, HIGHAM Bronte, BAIRNSFATHER Carol

acute myeloid leukaemia

Four patients with acute myeloid leukaemia died after receiving chemotherapy consolidation therapy that was administered once daily instead of the intended twice daily schedule due to a protocol error. The error originat…

haematologyoncologymedicationsystemcytarabine
VICcommunity2018-05-10

Finding into death of Mettaloka Malinda Halwala

58y · Male·Complications of chemotherapy for the treatment of Hodgkin lymphoma

Mettaloka Halwala, 58, died from complications of bleomycin toxicity during Hodgkin lymphoma chemotherapy. A PET scan on 11 November 2015 showed widespread lung uptake suggestive of bleomycin pneumonitis, but the haemato…

haematologyradiation oncologycommunicationsystemabvd chemotherapy
SAaged care2018-04-26

Coroner's Finding: MATTHEWS Barry John

69y · Male·metastatic squamous cell carcinoma of the lung with chronic obstructive lung dis…

Barry John Matthews, aged 69, died of metastatic squamous cell carcinoma of the lung with chronic obstructive lung disease at an aged care facility while subject to a section 32 detention order. He had undergone chemothe…

respiratory medicineoncologyamoxicillin
TAShospital2018-03-19

Coroner's Finding: Bessell, Lynne

67y · Female·metastatic carcinoma of the colon

Lynne Maree Bessell, aged 67, died of metastatic colon cancer at North West Regional Hospital on 13 March 2016. She had a history of bipolar affective disorder managed at the Spencer Clinic and was subject to a mental he…

oncologypsychiatry
NSW2018-03-07

Inquest into the death of Saker Mohamed

44y · Male·Hodgkin's Lymphoma

Saker Mohamed, a 44-year-old man serving a custodial sentence, died of Hodgkin's Lymphoma on 31 December 2015 at Long Bay Hospital. He presented with symptoms including lumps under armpits (August), headaches and dizzine…

oncologyhaematology
NSW2018-02-09

Inquest into the death of Ian James McAuliffe

67y · Male·metastatic prostate cancer

Ian McAuliffe, a 67-year-old man serving a custodial sentence, died from metastatic prostate cancer. The case examined whether his cancer treatment as a prisoner was adequate compared to community care. His oncologist Dr…

oncologypalliative caregoserelin
QLDhospital2018-02-06

Day, Robert Raymond

62y · Male·Metastatic prostate cancer

Robert Raymond Day, aged 62, died from metastatic prostate cancer while in prison custody. Diagnosed in 2013 with widespread bone, lymph node and liver metastases, he received high-standard palliative and oncological car…

palliative careoncologychemotherapy agents
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